DADS prepared a an information letter to provide information and guidance to Home and
Community-based Services (HCS) and Texas Home Living (TxHmL) program providers and Local
Intellectual and Developmental Disability Authorities (LIDDAs) about the International
Classification of Disease (ICD) transition from Version 9 (ICD – 9) to Version 10 (ICD – 10) and associated changes for submitting diagnostic codes on Department of Aging and Disability
Services (DADS) Form 8578, Intellectual Disability/Related Conditions Assessment (ID/RC). The Centers for Medicare and Medicaid Services (CMS) will require healthcare providers and
governmental entities to transition from ICD-9 to ICD-10 effective October 1, 2015.
To ensure there is no lapse in the program eligibility of an individual in the HCS or TxHmL
Program because of the transition from ICD-9 to ICD-10, a program provider and LIDDA must
comply with the following:
All ID/RCs with effective dates prior to October 1, 2015, must be submitted using ICD diagnostic codes.
All ID/RCs with effective dates of October 1, 2015, or later can only be submitted using ICD – 10 diagnostic codes.
ID/RC submissions with multiple diagnoses included on the form must be submitted into the
Client Assignment and REgistration (CARE) system using diagnosis codes of the same version
(i.e., ICD-9 or ICD-10), and in accordance with the ID/RC effective date information indicated
above. If an individual’s current diagnosis has an ICD-9 code that does not convert directly to an ICD-
10 code and the ID/RC has an effective date on or after October 1, 2015, the program provider or
LI DDA must obtain documentation of the ICD-10 code from the physician who is attesting to the
diagnosis.
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